Individual
AALAP MODI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1751 W DIEHL RD STE 110, NAPERVILLE, IL 60563-4912
(855) 264-7763
Mailing address
108 HESTERMAN DR, GLENDALE HEIGHTS, IL 60139-1945
(630) 297-3031
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051296701
IL
Other
Enumeration date
07/28/2013
Last updated
01/17/2019
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